Provider Demographics
NPI:1346287828
Name:MEYTHALER, JAY M (MD JD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:M
Last Name:MEYTHALER
Suffix:
Gender:M
Credentials:MD JD
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Mailing Address - Street 1:1811 CATALA RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1707
Mailing Address - Country:US
Mailing Address - Phone:205-822-5993
Mailing Address - Fax:205-216-7990
Practice Address - Street 1:900 OAK MOUNTAIN COMMONS LANE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124
Practice Address - Country:US
Practice Address - Phone:205-216-7900
Practice Address - Fax:205-216-7990
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2022-05-10
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Provider Licenses
StateLicense IDTaxonomies
MI4301083153208100000X
AL16224208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P30630177Medicare PIN